Park, Joseph Rae

Park, Joseph Rae is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Benning GA 31905-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Park, Joseph Rae can be contacted via phone (762) 408-2604.

Contact Information

Primary practice address
6600 Van Aalst Blvd Bldg 9250 Fort Benning GA 31905-2102
Phone: (762) 408-2604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 23235 Nebraska

Profile Details

NPI number 1215971494
LBN Legal business name Park, Joseph Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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